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No new private enrollment numbers, but Rhode Island's Medicaid expansion jumped from 6,627 at the end of November to 19,941 as of yesterday. For some reason the article claims a "quadrupling" from 5,280, but the official HHS number for 11/30 is 6,627, so I'm not sure what that's about (they also claim the quadrupling was "in December" even though the same number shows up as being "through Wednesday" which was January 8th).

In any event, a nice Medicaid bump (or a horrific one, from the GOP's POV) for Rhode Island.

The number of Medicaid enrollments through HealthSource RI totaled 19,941 as of Wednesday, with an additional 1,500 sign-ups pending, David Burnett, chief of government and public affairs at the R.I. Executive Office of Health & Human Services, revealed Wednesday in response to a request from WPRI.com.

The number of Medicaid sign-ups on HealthSource RI roughly quadrupled in December, jumping from 5,280 to 19,941, amid a drumbeat of publicity about deadlines to get coverage under President Obama's new health law.

Meanwhile, Harold Meyerson of the Washington Post wrote an Op/Ed piece today which cites ACASignups.net, which is great, but also includes a reference to Prof. Skocpol's brief, which is not so great. Ah, well.

Finally, I need to ask a favor of everyone. I need your help to make a decision; please read the explanation here and vote on this poll, thanks!

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Comment Preferences

  •  I voted. (7+ / 0-)

    Go with strategically-placed ads in addition to donations. This is still a labor of love. You aren't going to get rich on it but you should get some support for all the hard work you've been doing.

    I look forward to seeing Newsmax anti-Obamacare polls advertised! :-D

  •  medicaid normally signs up people all the time (1+ / 0-)
    Recommended by:
    Brainwrap

    as it is already an operating program. Do the counts seen here distinguish those signups that are due to the expansion of the program, or are they just counting all medicaid enrollees?

    •  In this case it appears to be all enrollees (5+ / 0-)

      There's actually 3 categories:

      1. Medicaid expansion enrollees
      2. New, but were already qualified (ACA = awareness)
      3. Renewing enrollment

      I don't count renewals when they're labelled as such...but so far only WA has separated those out.

      •  Medicaid renewal (0+ / 0-)

        I wasn't familiar with Medicaid renewal, so I had to look it up.  I guess it means renewal of eligibility.  How that is done varies from State to State, I guess.  The State of Washington was talking about recertification of eligibility through data matching, which would be more or less automatic.  

        It will be interesting to see if and how Medicaid renewals are counted for purposes of the ACA rollout.    

    •  Not distinguishing (1+ / 0-)
      Recommended by:
      Brainwrap

      and in RI, the exchange is doing the Medicaid enrollments for people who come to it. (I assume it's still possible to enroll in Medicaid directly with the state.) In other words, it's single-portal, which is a much better model than people having to go to two different places and risk falling between them. (I have a friend in VT who the exchange people told her they couldn't help  because she's Medicaid eligible, and then Medicaid told her she's actually not, and she's stuck.)

      I would assume that renewals are not counted, however, since that's not adding people into the program.

    •  I observed two people in California sign up for (0+ / 0-)

      Medi-Cal the other day. They are currently unemployed after 30-year careers and their sole income is their unemployment insurance.  Before Jan. 1, they could not have qualified for Medi-Cal, but now as "non-elderly adults" with low income they can. For the past 4 years in preparation for their transfer to Medi-Cal on Jan. 1, more than 630,000 Californians in their category were enrolled in the Low Income Health Program, financed mainly by the ACA.  I would include that huge number of people who have, and had, health care coverage due to the ACA, even though it started before Oct. 1, because they could not have been covered under the old Medicaid rules.

      The spirit of liberty is the spirit which is not too sure that it is right. -- Judge Learned Hand, May 21, 1944

      by ybruti on Thu Jan 09, 2014 at 10:06:27 AM PST

      [ Parent ]

  •  keep up the good work brainwrap. i'll look (1+ / 0-)
    Recommended by:
    Brainwrap

    to see if i can find the latest WI numbers for you. we had about 4400 in November as i recall.

  •  As of 12-10 WI had over 7000 signups (1+ / 0-)
    Recommended by:
    Brainwrap

    that's the latest number i can find. hopefully that number will have greatly increased by the end of the month? Hopefully 30K?

  •  You are doing an immense service (3+ / 0-)
    Recommended by:
    Brainwrap, Davidsfr, lina

    for those of us who want to see ACA succeed. That doesn't mean it must be selfless. Unless someone steps up to compensate you for the hard work you are doing-of your own volition or not- I think you are justified in taking whatever steps are necessary to keep the site, and yourself, funded.

    "In a country well governed, poverty is something to be ashamed of. In a country badly governed, wealth is something to be ashamed of.” -Confucius

    by pierre9045 on Thu Jan 09, 2014 at 07:50:54 AM PST

  •  Just for context (2+ / 0-)
    Recommended by:
    Brainwrap, rsmpdx

    RI had an estimated 120,000 uninsured (12% of the population) before this process started.

    Adding close to 20,000 to Medicaid, plus close to 12,000 to private plans, totals 32,000 -- more than 1/4 of the total number of uninsured. That's huge.

    There are all sorts of caveats; some ACA sign-ups are people switching from worse or more expensive plans, or because they've just lost their jobs, not from "uninsured;" etc. But still, way to go Little Rhody -- what is possible when the state government is fully on board, and the exchange administrator is competent and fully committed.

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